Active NPI
Dallas Foot and Ankle Specialists,PA
- Foot & Ankle Surgery Podiatrist
- Dallas, TX
National Provider Identifier
1851562649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 1568
- Legal business name
- DALLAS FOOT AND ANKLE SPECIALISTS,PA
- Practice address
- 3600 Gaston Ave Ste 402
Dallas, TX 75246-1804 - Phone
- (214) 832-4710
- NPI assigned
- Mar 19, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Peter Brian Wood, DPM
- Title
- President
- Phone
- (214) 824-7100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 1568 | TX | Primary |
Addresses
Primary practice location
3600 Gaston Ave Ste 402
Dallas, TX 75246-1804
Mailing address
3600 Gaston Ave Ste 402
Dallas, TX 75246-1804
Phone (214) 832-4710
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140409001373 | TX | Part B Supplier - Clinic/Group Practice | 3678788304 | Practice locations: Dallas, TX |
National Provider Directory
National Provider DirectoryLocations
3600 Gaston Ave
Ste 402
Dallas, TX 75246
Phone (214) 824-7100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205884800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1396915200000",
"number": "1851562649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 GASTON AVE STE 402",
"city": "DALLAS",
"state": "TX",
"postal_code": "752461804",
"telephone_number": "214-832-4710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 GASTON AVE STE 402",
"city": "DALLAS",
"state": "TX",
"postal_code": "752461804",
"telephone_number": "214-832-4710"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DALLAS FOOT AND ANKLE SPECIALISTS,PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-19",
"last_updated": "2014-04-08",
"status": "A",
"authorized_official_last_name": "WOOD",
"authorized_official_first_name": "PETER",
"authorized_official_middle_name": "BRIAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "214-824-7100",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "TX",
"license": "1568",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.